Symptoms of Yeast Infection
If you have a vaginal yeast infection you may experience itching, burning, a
cottage-cheese like vaginal discharge, redness of the vagina and labia,
and pain with sex or urination.
Causes of Yeast Infections
normally live in the intestines and mucus membranes of many women. Some
circumstances can allow the yeast to grow more rapidly and out of
control. For example, antibiotics can kill off the bacteria that
normally compete with yeasts for growth, allowing the yeasts
to grow in place of the bacteria. Some other factors that can allow
yeast to grow out of control include:
Steroids such as prednisone
Effect on Pregnancy
The Candida albicans yeast can be transmitted to a baby from its mother. Mature babies
may develop oral thrush, a condition where the yeast grows as
white patches on the tongue and inside the cheeks of the baby. In very premature
babies the yeast may become a
more serious infection.
Treatment of Vaginal Candida Infections
If you believe you have a vaginal yeast infection, contact
your doctor to arrange for an examination . If you appear to have a vaginal
yeast infection, your doctor may recommend one of the following
Recommend Regimens for Pregnant Women
Over-the-Counter Intravaginal Agents:
Clotrimazole 1% cream 5 g intravaginally for 7--14 days OR
Miconazole 2% cream 5 g intravaginally for 7 days OR
Miconazole 100 mg vaginal suppository, one suppository for 7 days OR
Prescription Intravaginal Agents:
Nystatin 100,000-unit vaginal tablet, one tablet for 14 days OR
Terconazole 0.4% cream 5 g intravaginally for 7 days
The Centers for Disease Control and Prevention (CDC)
does not recommend the use of oral medications for the treatment of vaginal
yeast infections during pregnancy.
Use the creams or suppositories as directed.
Do not stop using these medications early. Most women can expect cure within 2 weeks after starting treatment. You should return for follow-up visits with your doctor if symptoms
continue or come back within 2 months after treatment.
A yeast infection during pregnancy is not unusual. However,
you have numerous vaginal yeast or thrush infections, you should ask your doctor
to be evaluated for diabetes and HIV.
Prevention of Vaginal Yeast Infections
The following may help to prevent vaginal yeast infections:
- Keep your sugar well controlled if you are a diabetic
- Keep your genital area dry
- Do not douche
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